Symptoms that may develop as the condition progresses include the following1: 1. Too many red blood cells are made in the bone marrow and, in many cases, the … Treatment focuses on reducing your amount of blood cells. You'll usually feel better, too. WebMD does not provide medical advice, diagnosis or treatment. ", New York-Presbyterian Hospital: "Polycythemia Vera. Talk to your friends and family about what you’re dealing with. Polycythemia vera (PV) is a rare blood cancer that causes your body to make too many red blood cells. The Allegheny Health Network collaborates on an array of initiatives that support cancer care and research.. You may have some blood tests, including: You may also need a bone marrow biopsy. Others might have: 1. They’ll ask about your symptoms and see if your face is unusually red. Drawing some blood out of your veins in a procedure called phlebotomy is usually the first treatment option for people with polycythemia vera. Your doctor takes blood from your vein so you have fewer blood cells. My polycythemia vera diet considersations Should I avoid foods with iron? The increase in blood cells makes the blood thicker, leading to strokes or tissue and … Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, What Is Polycythemia Vera? Dizziness 4. A mutation, or change, in the body’s JAK2 gene is the main cause of PV. Read more COVID-19 Vaccine Information, Patient Care Options | Visitor Guidelines | Coronavirus Information | Self-Checker | Get Email Alerts. Bathe or shower in cool water if warm water makes you itch. Some symptoms will ease, like headaches or dizziness. The goal is to avoid complications like blood clots, which may happen because PV … In 2005, it was discovered that 95 percent of patients with PV have a mutation in the JAK2 gene. Shortness of breath 11. If you need more help, your doctor may prescribe hydroxyurea (Droxia, Hydrea), a pill that lowers your red blood count and eases symptoms. Itchiness, especially following a warm bath or shower 2. ", Johns Hopkins Medicine: "Polycythemia Vera. Environment - Exposure to intense radiation may increase the risk for the condition. With the support of your doctor, family, friends, and other people who have polycythemia vera, you’ll be in the best position to manage it. There is also a small chance that polycythemia vera could cause an … It causes your marrow to make … Do leg and ankle exercises to keep clots from forming in the veins of your legs. Polycythemia vera (PV) is a rare blood disorder in which there is an increase in all blood cells, particularly red blood cells. The National Cancer Institute defines polycythemia vera as follows: “A disease in which there are too many red blood cells in the bone marrow and blood, causing the blood to thicken. Blurred vision 8. This gene plays a significant role in the production of red blood cells (in addition to white blood cells and platelets). This disease gets worse slowly, usually over many years. Taking blood out of your veins. If you have itching that doesn't go away, your doctor may give you antihistamines. This might mean PV has enlarged your spleen, an organ that helps filter your blood. A small number of patients may develop acute leukemia or a bone marrow disorder called myelofibrosis. Request your next appointment through MyChart! It causes your marrow to make too many red blood cells so your blood is too thick. 2. What is polycythemia vera? Remember that everyone is different and that all cancers aren’t the same. National Cancer Institute: "Polycythemia Vera. “Polycythemia Vera.”, National Center for Advancing Translational Sciences: “Polycythemia Vera.”. In rare cases, polycythemia vera may eventually progress into a form of leukemia known as acute myeloid leukemia. Painful swelling of one joint, often the big toe 10. Polycythemia vera (PV) is a condition that causes your bone marrow to produce too many red blood cells (RBCs). Some patients may not need active treatment but should still be monitored by a physician expert. PV is caused by a gene (either JAK2 or TET2) that doesn’t work the way it should. Polycythemia vera is a clonal hematopoietic stem cell disorder, characterized by the unregulated production of red cells, white cells and platelets, thrombotic and hemorrhagic events, … Polycythemia vera has some characteristics similar to cancer as it involves the uncontrolled division of an immature cell and it is not curable. While no cure exists for PV, it can be controlled through treatment, and you can live with the disease for many years. Gender -- Men may be slightly more likely than women to develop the condition. Cancer Matters timely topicsOur Cancer for caregivers, Latest News from the Kimmel Cancer CenterRead Now. In many cases, treatment can reduce the risk of complications from polycythemia vera and ease signs and symptoms.Treatment might include: 1. Pompe Disease: Learn the Details About This Rare Disorder, Understanding Cancer Diagnosis and Treatment. Headache 3. Learn more. Polycythemia vera (PV) also is known as primary polycythemia. The JAK2 gene makes a protein that helps the body … PV is complex and may have many contributing factors. Your bone marrow makes three types of blood cells: Red blood cells carry oxygen, white ones fight infections, and platelets clot your blood to stop bleeding. Polycythemia vera is a disease in which too many red blood cells are made in the bone marrow. In polycythemia vera, the blood becomes thickened with too many red blood cells.The … This can make the blood thicker than normal. Bleeding or bruising, usually minor 5. Unfortunately, this means we are unable to accept phone calls to schedule COVID-19 vaccinations at this time. Polycythemia vera (PV) is a rare blood disorder in which there is an increase in all blood cells, particularly red blood cells. Or, doctors may recognize signs of PV during an examination. Polycythemia vera is a chronic condition that can't be cured. Liver and spleen enlargement are other potential complications. Too many white blood cells (WBCs) … Keep yourself comfortable and as healthy as possible during treatment: There's no cure, but the right treatment can help you manage this disease for many years. Contact us or find a patient care location. Polycythemia vera (PV) is a chronic blood cancer caused by an acquired gene mutation of the blood cells in the bone marrow, which creates an overproduction of blood cells, particularly red blood cells. Polycythemia vera (PV) is a blood cancer that begins in the marrow of your bones, the soft center where new blood cells grow. Enter the last name, specialty or keyword for your search below. That makes you less likely to get blood clots, which in turn makes heart attacks or strokes less likely. PV may be detected on blood tests done for other reasons, before there are any symptoms. Fatigue 7. Most people who have PV don’t get diagnosed until they’re 60 or older, usually after a routine blood test. © 2005 - 2019 WebMD LLC. All rights reserved. Your doctor or a physical therapist can show you how. You need these cells to carry oxygen around your body, but too many of them can make your blood thicken … Are You Destined to Get Your Parents' Illnesses? Rarely, parents can pass these faulty genes to children. Polycythemia vera (PV) causes your bone marrow to make too many red blood cells. Acute leukemia is a blood cancer that gets worse quickly. This case follows a 35-year-old man with polycythemia vera from presentation in the ED through initiating and modifying treatment with phlebotomy and hydroxyurea, and eventually achieving … - Polycythemia Vera, Liver Cancer: Symptoms, Tests, and Treatments, Understanding Stem Cell Transplants for Blood Cancers, Battling Nature (Part 1): Genetic Possibilities. It can also help you find support groups. Follow-up for polycythemia vera is often shared among the cancer specialists (oncologists) or blood specialists (hematologists) and your family doctor. Myelofibrosis is a condition in which your bone marrow fills with scar tissue. For this test, your doctor will take samples of your marrow, usually from the back of your hip bone. Most likely, the problem happened over the course of your life. When they do show up, polycythemia vera symptoms can include: You may also feel pressure or fullness below your ribs on your left side. ", MPN Research Foundation: "Polycythemia Vera. Follow-up after treatment is an important part of cancer care. But it can happen at any age. However, know that this condition can be managed effectively for very long periods. Knowing this, learning that you or a loved one has this disorder can understandably be stressful. Secondary polycythemia, also called secondary erythrocytosis, is the overproduction of red blood cells. It belongs to a wider group of blood cancers called myeloproliferative neoplasms, which cause the blood cells developed by the bone marrow to not … Another drug, interferon alfa (Intron A), helps your immune system cut back on making blood cells. Age -- People older than 60 are most likely to develop the condition, though it may occur at any age. The causes of PV are still unknown. But it can also cause you to have too many white blood cells and platelets. Signs may include: An increase in red blood cells, platelets and white bloods cells A high hematocrit (the proportion of red blood cells in the … Diagnosis Blood tests are used to diagnose polycythemia vera. This keeps platelets from sticking together. ", National Heart, Lung, and Blood Institute: "How Is Polycythemia Vera Diagnosed?" The increase in blood cells makes the blood thicker, leading to strokes or tissue and organ damage. Many people with polycythemia vera don't have signs or symptoms. There's no cure, but treatments can help … Additional tests may include: Treatments for PV can vary depending on a patient's symptoms. What Is Polycythemia Vera? If your organs don’t get enough blood, you could have chest pain or heart failure. Men get it more often than women. Your healthcare team will work with you to decide on follow-up care to meet your needs. Most people with polycythemia vera take low-dose aspirin. Polycythemia vera (PV) is one of several “myeloproliferative neoplasms” (MPNs), a term used to group a number of blood cancers that share several features, especially the clonal production of blood cells. Your doctor will decide how often you need phlebotomy. Your doctor will start with a physical exam, including a check of your spleen. Blood clots can cause a heart attack, a stroke, or deep vein thrombosis (DVT). Since I have polycythemia vera, am I more likely to have a stroke or heart attack? Find a doctor at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center or Johns Hopkins Community Physicians. Polycythemia vera (PV) is a rare blood cancer. For more information, see the website for the MPN Research Foundation. Please understand that our phone lines must be clear for people with urgent and acute medical care needs. You may also want to join a support group for people who’ve been in your position. A feeling of pressure or fullness below the ribs on the left side. We are experiencing extremely high call volume related to COVID-19 vaccine interest. This is often the first treatment for people who have polycythemia vera. Then, your doctor uses a needle to take out a small amount of bone marrow. Numbness, tingling, burning or weakness in your hands, feet, arms or legs 12. When the gene is mutated, there is a loss of normal regulation, and an overproduction of red blood cells, and at times, white blood cells and platelets. Polycythemia vera (PV) is a blood cancer that begins in the marrow of your bones, the soft center where new blood cells grow. Polycythemia vera (PV) is a rare type of blood cancer in which your body produces too many red blood cells. Extra cells may not sound like a problem, but they are. Don’t wait until your next scheduled appointment to report any new symptoms and symptoms that don’t go away. The MPN Research Foundation has more information about polycythemia vera. It's an outpatient procedure, which means you don't have to stay overnight in a hospital. It can be life-threatening if you don't get treatment, but the right care can help you live a long life. Your doctor will keep a close watch on you. Outside of Maryland (toll free)410-464-6713Request an AppointmentMedical Concierge Services, International Patients+1-410-502-7683Request an AppointmentMedical Concierge Services. You lie down on a table and get a shot that will numb the area. You can get it done in a clinic, a hospital, or your doctor's office. They might also make your liver or spleen larger. ", National Organization for Rare Disorders: "Polycythemia Vera. After it's done, your blood will be thinner, and it’ll flow more easily. It's a lot like donating blood. Medicine to lower blood cells. Some people with PV also have too … Back to top Phlebotomy. Treatments include: The Johns Hopkins Center for the Chronic Myeloproliferative Disorders coordinates the care of patients with PV and other related disorders and conducts research in these areas. Many people with polycythemia vera (PV) live a normal life with this rare blood cancer under control. © The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. Polycythemia Vera (PV) Is one of a related group of blood cancers known as “myeloproliferative neoplasms” (MPNs). Polycythemia Vera Cancer Care provides free, professional support services for people affected by polycythemia vera, as well as treatment information and financial help with cancer-related costs and treatment … ", University of Iowa Hospitals and Clinics: "Polycythemia Vera. The results can show your doctor if your bone marrow makes too many blood cells. At first, you may not notice any problems. RBCs carry oxygen throughout the body. If you have polycythemia vera, it means you have a slow-growing blood cancer that can sometimes turn into another, more serious blood cancer. Most people with polycythemia vera have too many red blood cells. Because it can increase your risk of stroke, it's important to get treatment if necessary. When this changes, we will update this web site. It's common to worry when you find out that you have cancer. Low-dose aspirin. Epidemiologic factors associated with PV include: Blood clots also can occur, resulting in a heart attack, stroke, or pulmonary embolism. PV causes all my blood levels to be elevated which, in turn, causes a multitude of cardiac issues and symptoms like … Before your appointment, it's a good idea to make a list of things to ask your doctor, such as: If you don't have many symptoms, you might not need treatment for PV right away. Weakness 6. Excessive sweating 9. Notice of Privacy Practices(Patients & Health Plan Members). The most dangerous symptom of polycythemia vera is the chance for a thrombotic event that can cause a heart attack or stroke. The number of wh… If you do need treatment, it will be aimed at lowering the amount of red blood cells your body makes and preventing blood clots and other complications. PV can also lead to more serious blood diseases like acute leukemia or myelofibrosis. Red blood cells carry oxygen throughout your body. It can also increase the amount of white blood cells and platelets in the blood. Polycythemia vera is a rare blood cancer. At its early stages, PV may not cause any symptoms. You might take busulfan (Busulfex, Myleran) or ruxolitinib (Jakafi) if hydroxyurea isn’t helpful or if it causes severe side effects. All clonal diseases are types of cancer … You may be more likely to have clots, a stroke, or a heart attack. Polycythaemia vera (PV) is a rare slow-growing blood cancer where the bone marrow makes too many red blood cells. Polycythemia vera (PV) is a type of slow-growing blood cancer that causes excess red blood cell production. Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. Having too many red blood cells might cause stomach ulcers, gout, or kidney stones. All rights reserved. Latest News from the Kimmel Cancer Center, The Sidney Kimmel Comprehensive Cancer Center, Paroxysmal Nocturnal Hemoglobinuria (PNH), Telomere Syndromes and Dyskeratosis Congenita, The Johns Hopkins Center for the Chronic Myeloproliferative Disorders. Some people with PV don’t need any other treatment for many years. Shortness of breath and difficulty breathing while lying down, Visual disturbance, such as double vision, blurred vision, and blind spots, Itchy skin, particularly after a hot bath. PV patients have an excellent chance of living out a normal life span if properly monitored and treated. A small number of patients may not sound like a problem, but are... 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